Electronic Clinical Decision Support Tools: Opioid Prescribing | Overdose Prevention

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datetime="2024-05-08 04:00:00"> May 8, 2024 </time> </section> <div class="cdc-page-title cdc-page-offset syndicate"> <h1>Electronic Clinical Decision Support Tools: Opioid Prescribing</h1> </div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-blurb summary-list" data-section="cdc_generic_summary"> <div class="dfe-section__header"> <h2>Key points</h2> </div> <div class="dfe-section__content"> <ul class="nested-list"> <li class="level-1">Electronic clinical decision support (CDS) tools can provide information at the right time to help providers make decisions.<ul> </ul> </li> <li class="level-1">Electronic CDS tools can be integrated into electronic health records (EHR) and other systems.<ul> </ul> </li> <li class="level-1">Using CDC's Opioid Prescribing Electronic CDS Tools can save time and promote safer opioid prescribing.<ul> </ul> </li> </ul> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_generic_section_1"> <a class="onThisPageAnchor" id="cdc_generic_section_1-overview" name="Overview" title="Overview"></a><h2>Overview</h2> <p>When integrated into electronic health records (EHRs), electronic clinical decision support (CDS) tools can provide accurate and timely patient information to providers. These tools can provide prompts and reminders for healthcare professionals, clinical teams, patients, and administrators. They can also help users implement evidence-based recommendations when patients are receiving care or healthcare services.</p> <p><em>"Clinical decision support starts from EHR up."</em><br>-Eugene "Genie" McPeek Hinz, M.D., M.S., Associate Chief Medical Information Officer, Duke Health</p> </div> <div class="dfe-section" data-section="cdc_generic_section_2"> <a class="onThisPageAnchor" id="cdc_generic_section_2-cdcs-opioid-prescribing-electronic-cds-tools" name="CDC's%20Opioid%20Prescribing%20Electronic%20CDS%20Tools" title="CDC's Opioid Prescribing Electronic CDS Tools"></a><h2>CDC's Opioid Prescribing Electronic CDS Tools</h2> <p><a href="https://build.fhir.org/ig/cqframework/opioid-cds-r4/" class="tp-link-policy" data-domain-ext="org">CDC's Opioid Prescribing Electronic CDS Tools<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a> support safer opioid prescribing for chronic pain. Among other tasks, these tools can: </p> <ul class="nested-list"> <li class="level-1">Present non-medication and nonopioid therapy options<ul> </ul> </li> <li class="level-1">Assess risk and promote naloxone prescribing<ul> </ul> </li> <li class="level-1">Calculate the lowest effective dose of opioids<ul> </ul> </li> </ul> <p><em>"EHR has the potential to serve as an educational tool, a tool to keep clinicians up to date and to make sure they are practicing at the highest standard."</em><br>-Ezekiel Fink, M.D., Medical Director of Pain, Houston Methodist</p> <p>Health systems pilot tested CDC's CDS tools. Participating health systems included academic medical centers. Learn more about pilot testing experiences in <a href="/overdose-prevention/hcp/ehr/health-system-success.html" class="">Health System Success</a>.</p> </div> <div class="dfe-section" data-section="cdc_generic_section_3"> <a class="onThisPageAnchor" id="cdc_generic_section_3-integrating-cds-tools-into-ehr-systems" name="Integrating%20CDS%20tools%20into%20EHR%20systems" title="Integrating CDS tools into EHR systems"></a><h2>Integrating CDS tools into EHR systems</h2> <p>Most EHR vendors support <a href="https://build.fhir.org/ig/cqframework/opioid-cds-r4/" class="tp-link-policy" data-domain-ext="org">CDC's Opioid Prescribing Electronic CDS Tools<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>. All providers, from small practices to large health systems, can implement these tools into their EHR system. Providers and practices should work with their EHR vendor to determine how to incorporate these tools. The vendor can also help determine the level of effort needed to support the tools. </p> <p>Overall, using CDS tools can increase the quality of care and enhance health outcomes.<span class="cdc-references-cite"><a class="cdc-references-cite__link" href="#cdcreference_1" aria-label="Reference link 1">1</a></span><span class="cdc-footnotes-cite"></span></p> </div> <div class="dfe-section" data-section="cdc_generic_section_4"> <a class="onThisPageAnchor" id="cdc_generic_section_4-helpful-resources-and-tools" name="Helpful%20resources%20and%20tools" title="Helpful resources and tools"></a><h2>Helpful resources and tools</h2> <ul class="nested-list"> <li class="level-1"><a href="/overdose-prevention/hcp/clinical-guidance/index.html" class="">2022 CDC Clinical Practice Guideline at a Glance</a><br><ul> </ul> </li> <li class="level-1"><a href="http://build.fhir.org/ig/cqframework/opioid-cds-r4/" class="tp-link-policy" data-domain-ext="org">Opioid Prescribing Support Implementation Guide<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a><ul> </ul> </li> <li class="level-1"><a href="https://www.healthit.gov/topic/safety/clinical-decision-support" class="tp-link-policy" data-domain-ext="gov">HealthIT.gov: Clinical Decision Support <span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a><ul> </ul> </li> <li class="level-1"><a href="/overdose-prevention/media/pdfs/2024/06/Integration-Framework.pdf" target="_blank">HHS ONC/CDC | HIT Integration Framework<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span></a><ul> </ul> </li> <li class="level-1">Osheroff J, Teich J, Levick D, Saldana L, Velasco F, Sittig D, Rogers K, Jenders R. <a href="https://www.taylorfrancis.com/books/mono/10.4324/9780367806125/improving-outcomes-clinical-decision-support-jerome-osheroff-jonathan-teich-donald-levick-luis-saldana-ferdinand-velasco-dean-sittig-kendall-rogers-robert-jenders" class="tp-link-policy" data-domain-ext="com">Improving Outcomes with Clinical Decision Support: An Implementer's Guide, Second Edition<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a>. Boca Raton, FL.: HIMSS Publishing; 2012<ul> </ul> </li> <li class="level-1"><a href="https://www.cms.gov/regulations-and-guidance/legislation/EHRincentiveprograms/downloads/clinicaldecisionsupport_tipsheet-.pdf" class="tp-link-policy" target="_blank" data-domain-ext="gov">Clinical Decision Support: More Than Just 'Alerts' Tipsheet (Centers for Medicare & Medicaid Services)<span aria-label=" pdf icon" role="img" class="sr-only"></span><span class="cdc-link-icon cdc-link-icon--pdf" aria-hidden="true"></span><span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a><ul> </ul> </li> <li class="level-1"><a href="/ophdst/index.html" class="">CDC Office of Public Health Data, Surveillance, and Technology</a><ul> </ul> </li> <li class="level-1"><a href="https://cds-hooks.org/" class="tp-link-policy" data-domain-ext="org">CDS Hooks website<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a><br><ul> </ul> </li> <li class="level-1"><a href="https://www.healthit.gov/topic/health-it-health-care-settings/connecting-impact-linking-potential-prescription-drug-0" class="tp-link-policy" data-domain-ext="gov">Office of the National Coordinator for Health Information Technology/CDC Health Information Technology: Integration Framework<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a><ul> </ul> </li> </ul> <p>Learn more about <a href="https://archive.cdc.gov/#/details?url=https://www.cdc.gov/csels/phio/clinical-guidelines/index.html" class="">adapting clinical guidelines for the digital age</a>.<br></p> </div> </div> <div class="cdc-dfe-body__right page-right-rail"> <aside class="page-right-rail__static noindex" role="complementary"> <div class="on-this-page " data-sid=""> <h2 class="on-this-page__heading"> On This Page </h2> <div class="card-body"> <ul> <li><a href="#cdc_generic_section_1-overview">Overview</a></li> <li><a href="#cdc_generic_section_2-cdcs-opioid-prescribing-electronic-cds-tools">CDC's Opioid Prescribing Electronic CDS Tools</a></li> <li><a href="#cdc_generic_section_3-integrating-cds-tools-into-ehr-systems">Integrating CDS tools into EHR systems</a></li> <li><a href="#cdc_generic_section_4-helpful-resources-and-tools">Helpful resources and tools</a></li> </ul> </div> </div> </aside> <aside class="page-right-rail__dynamic noindex" role="complementary"> <div data-related-nav></div> </aside> </div> </div> <div data-journey-next></div> <section class="container page-mobile-bar"> <time class="page-mobile-bar__item page-mobile-bar__item--date" datetime="2024-05-08 00:00:00"> May 8, 2024 </time> </section> <div class="page-content-sources noindex"> <div 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